PAMELA SUE ANDERSON (NPI# 1659693414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659693414 |
| Entity Type | Individual |
| Full Name | PAMELA SUE ANDERSON |
| Credential | ANP-BC |
| Practice Address |
8433 Harcourt Rd Ste 100 Indianapolis IN 46260-2193 |
| Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
| Practice Telephone | 3175837600 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71002545A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71002545A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201023490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075725 | Pamela Anderson | Social Worker | 383 Rosemary Way, Grand Junction, CO 81501-4452 | 2018-03-05 |
| 1669752598 | Pamela M Anderson | Specialist | 458 Berwick Cir, Aurora, OH 44202-8560 | 2011-08-23 |
| 1407177090 | Pamela Anderson | Occupational Therapist | 9733 Nickleby Ct, Charlotte, NC 28210-7803 | 2010-06-17 |
| 1982879086 | Pamela Leigh Anderson | Physical Therapist | 1131 Tanglebrook Dr, Athens, GA 30606-5737 | 2008-04-29 |
| 1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
| 1538787973 | Pamela C Anderson | Social Worker | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8075 | 2020-07-13 |
| 1558929091 | Pamela Ann Anderson | Nurse Practitioner | 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226-4216 | 2019-05-30 |
| 1942777206 | Pamela Regina Anderson | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1836 | 2018-10-25 |
| 1831665702 | Pamela Dawn Anderson | Registered Nurse | 3720 Florence Blvd, Omaha, NE 68110-1737 | 2018-10-18 |
| 1518323443 | Pamela Anderson | Marriage & Family Therapist | 7600 143rd St W, Apple Valley, MN 55124-5528 | 2016-01-07 |
| Street Address |
8433 HARCOURT RD STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235138504 | Gregory C Yerington | Anesthesiology | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2005-07-19 |
| 1386251189 | Nicole Dianne Frick | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-09-25 |
| 1821612391 | Sophie Elizabeth Brown | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-06-01 |
| 1942823604 | Sara Monhollen | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-05-28 |
| 1275989931 | Sarah Jo Graham | Nurse Practitioner | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260 | 2016-05-11 |
| 1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
| 1023416872 | Davina Ananias | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2014-12-10 |
| 1164841102 | Gregory S Clark | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2014-04-07 |
| 1598193807 | Emily Elizabeth Shumaker | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2013-10-23 |
| 1285066472 | Nathan Joseph Woebkenberg | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1538512090 | Martita Rolanda Meeks | Nurse Practitioner | 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 | 2016-07-20 |
| 1194177022 | Stephanie R Young | Nurse Practitioner | 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 | 2016-07-03 |
| 1114394426 | Tamara Sue Roberts | Nurse Practitioner | 7911 N Michigan Road, Indianapolis, IN 46268-1360 | 2015-08-24 |
| 1023426780 | Lesli White | Nurse Practitioner | 1 Allison Way, Indianapolis, IN 46222-3271 | 2014-07-25 |
| 1386070274 | Kimberly Demasie | Nurse Practitioner | 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 | 2013-09-24 |
| 1669788204 | Shannon L Childers-page | Nurse Practitioner | 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 | 2010-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on PAMELA SUE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.